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Cancer Cytopathology
Article . 2015 . Peer-reviewed
License: Wiley Online Library User Agreement
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CD10, BCL6, and MUM1 expression in diffuse large B‐cell lymphoma on FNA samples

Authors: Cozzolino, Immacolata; Varone, Valeria; Picardi, Marco; Baldi, Carlo; Memoli, Domenico; Ciancia, Giuseppe; SELLERI, Carmine; +3 Authors

CD10, BCL6, and MUM1 expression in diffuse large B‐cell lymphoma on FNA samples

Abstract

BACKGROUNDGene expression profiling has divided diffuse large B‐cell lymphoma (DLBCL) into 2 main subgroups: germinal center B (GCB) and non‐GCB type. This classification is reproducible by immunohistochemistry using specific antibodies such as CD10, B‐cell lymphoma 6 (BCL6), and multiple myeloma oncogene 1 (MUM1). Fine‐needle aspiration (FNA) plays an important role in the diagnosis of non‐Hodgkin lymphoma, and in some cases FNA may be the only available pathological specimen. The objectives of the current study were to evaluate CD10, BCL6, and MUM1 immunostaining on FNA samples by testing the CD10, BCL6, and MUM1 algorithm on both FNA cell blocks (CB) and conventional smears (CS), evaluating differences in CB and CS immunocytochemical (ICC) performance, and comparing results with histological data.METHODSThirty‐eight consecutive DLBCL cases diagnosed by FNA were studied. Additional passes were used to prepare CB in 22 cases and CS in 16 cases; the corresponding sections and smears were immunostained using CD10, BCL6, and MUM1 in all cases. The data obtained were compared with histological immunostaining in 24 cases.RESULTSICC was successful in 33 cases (18 CB and 15 CS) and not evaluable in 5 cases (4 CB and 1 CS). The CD10‐BCL6‐MUM1 algorithm subclassified DLBCL as GCB (9 cases) and non‐GCB (24 cases). ICC data were confirmed on histologic staining in 24 cases.CONCLUSIONSCD10, BCL6, and MUM1 ICC staining can be performed on FNA samples. The results herein prove it is reliable both on CB and CS, and is equally effective and comparable to immunohistochemistry data. Cancer (Cancer Cytopathol) 2016;124:135–143. © 2015 American Cancer Society.

Country
Italy
Keywords

Adult, Male, Cancer Research, Lymphoma, Biopsy, Biopsy, Fine-Needle, Cohort Studies, 80 and over, Large B-Cell, Humans, Prospective Studies, B-cell lymphoma 6 (BCL6); CD10; cell block; diffuse large B-cell lymphoma (DLBCL); fine-needle aspiration (FNA); multiple myeloma oncogene 1 (MUM1); non-Hodgkin lymphoma; Adult; Aged; Aged, 80 and over; Biopsy, Fine-Needle; Cohort Studies; DNA-Binding Proteins; Female; Gene Expression Profiling; Humans; Immunohistochemistry; Interferon Regulatory Factors; Linear Models; Lymphoma, Large B-Cell, Diffuse; Male; Middle Aged; Neprilysin; Prognosis; Prospective Studies; Gene Expression Regulation, Neoplastic; Cancer Research; Oncology; Medicine (all), fine-needle aspiration (FNA), Aged, Aged, 80 and over, Neoplastic, multiple myeloma oncogene 1 (MUM1), non-Hodgkin lymphoma, Medicine (all), Gene Expression Profiling, B-cell lymphoma 6 (BCL6); CD10; cell block; diffuse large B-cell lymphoma (DLBCL); fine-needle aspiration (FNA); multiple myeloma oncogene 1 (MUM1); non-Hodgkin lymphoma, Middle Aged, cell block, Prognosis, Diffuse, Immunohistochemistry, DNA-Binding Proteins, Gene Expression Regulation, Neoplastic, diffuse large B-cell lymphoma (DLBCL), Gene Expression Regulation, Oncology, Interferon Regulatory Factors, Fine-Needle, Linear Models, Proto-Oncogene Proteins c-bcl-6, CD10, Female, Neprilysin, Lymphoma, Large B-Cell, Diffuse, B-cell lymphoma 6 (BCL6)

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    influence
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
36
Top 10%
Top 10%
Top 10%
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bronze